IMPORTANT

PLEASE READ CAREFULLY BEFORE SIGNING

Hiring is subject to:

Passing Pre-Employment Drug Screening
Satisfactory Reference Reportss
Accuracy of Pre-Employment Information Furnished
Compliance with Immigration Reform Control Act of 1986.

I understand that if hired, employment at this organization is "at will," which means that either I or the organization can terminate my employment any time, with or without prior notice, and for any reason not prohibited by law. This "at will" status can only be changed by a written agreement signed by the president of the organization.

I hereby consent to undergo such pre- or post-medical examination(s) as required and which are permissible for employers to require under applicable law (which may include obtaining body tissue or fluid samples and analysis of same for drug/alcohol screening and/or other tests) and to execute any and all releases required by any entity or person performing such medical examinations.

My signature further constitutes my authorization for the organization to fully investigate any matter contained on this Application for Employment and for anyone with relevant information, including, but not limited to, schools, law enforcement agencies, courts, prior employers and prior supervisors, to provide such information to this company and I hereby fully release them from any liability for doing so. In addition, in the event I am employed, my signature constitutes my authorization for this company to secure any relevant and needed medical information about me from any physician, hospital, medical provider or insurance carrier having such information.

I hereby authorize my former employers and others to furnish their records of my service, my reason for leaving their employ, together with all information they may have concerning me. I also release any individual, partnership, or corporation which formerly employed me, its officers, agents, and employees from any liability for any damage whatsoever for issuing such information. Additionally, I hereby authorize any schools, colleges, or institutions of education I have attended to furnish their records or transcripts of my grades, honors, or achievements they may have concerning me. I also release any individual, school, or institution, its officers, agents, and employees from any liability for any damage whatsoever for issuing such information.

I understand that my signature constitutes my certification that all the responses given on this Application are complete and truthful. Where I have left an item blank, I have no information concerning such item. I understand and agree that any falsification or omission either on this form or in response to any questions asked of me during any interview I may have, or on any employment forms I may subsequently complete, including "I-9" forms, shall be grounds for immediate termination of employment, no matter when the falsification or omission is discovered.

To download or print application, click below.